Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.
Read our methodology →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
168
Total Claims
$2,110
Drug Cost
79
Beneficiaries
$27
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 526 Surgical Oncology providers
+3%
Opioid rate vs peers
29.8% vs 28.9% avg
-96%
Cost per patient vs peers
$27 vs $690 avg
🔎 Data Overview
Prescribes only 4 unique drugs with a 29.8% opioid rate. Very low drug diversity combined with high opioid prescribing is a classic statistical marker of potential pill mill operations. However, some legitimate practices (e.g., addiction treatment with buprenorphine) can show similar patterns.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
29.8%
Opioid Rate
50
Opioid Claims
$303
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 29.8% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 167 claims · $2,099
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Anastrozole | 52 | $1,021 |
| Acetaminophen With Codeine | 43 | $265 |
| Cephalexin | 21 | $227 |
| Sulfamethoxazole/Trimethoprim | 15 | $122 |
Prescribing Profile
4
Unique Drugs
6.0
Anomaly Score
Patient Profile
73
Avg Age
100%
Female
1.21
Avg Risk Score
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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About